HOSPITAL ORIENTATION EXAM QUESTIONS
AIDET - Answers :ACKNOWLEDGE: eye contact, smile, call by name
INTRODUCE: Name, title, special training, years of experience
DURATiON: how long? what happens next?
EXPLAIN: what you are doing and why?
THANK YOU: let them know you enjoyed working with them
Hourly Rounding - Answers :1) use opening key words
2) perform scheduled care
3) address 5 P's (pain, position, potty, possessions, and preventions)
4) ask if there is anything else you can do and remind patient that someone will be back
in an hour or so
5) document rounding
10-5 rule - Answers :1) acknowledge person at 10 ft away by smiling and making eye
contact
2) at 5 ft away say hello and go extra mile to help guest find their way
AMI (core measures) - Answers :Acute Myocardial Infarction
1) aspirin w/in 24 hr's before or after arrival
2) beta blocker at discharge
3) smoking cessation
4) ACE inhibitor or ARB if moderate to severe LV dysfunction
5) aspirin at discharge
6) percutaneous intervention (PCI) w/in 90 mins of arrival for patient with STEMI or new
LBBB
7) statin meds at discharge is LSL>100, no LDL or statin meds at home
HF (core measures) - Answers :Heart Failure
1) documentation of LV function evaluation
2)ACEI or ARB at discharge for moderate to severe LVSD
3)written discharge instructions (weight monitoring, what to do if HF symptoms worsen,
diet activity and meds, follow up when and where)
4) tobacco cessation
PN (core measures) - Answers :Pneumonia
1) antibiotics w/in 6 hrs of arrival
2)blood cultures prior to antibiotics
3)blood cultures performed w/in 24 hrs prior to or after arrival if admitted to ICU or
transferred
4) flu and PN vaccines must be offered to all PN patients that are eligible
5) pneumococcal vaccine screening mandatory for all patients 65 yrs or older
6) influenza vaccine screening mandatory between OCT 1- MAR 31 for 50 yrs or older
7) tobacco cessation
, SCIP (core measures) - Answers :Surgical Care Improvement Project
1) patient on beta blocker must have a beta blocker administered the day of or before
surgery AND on post-op day 1 or 2 unless contradiction
2) hair removal with clippers only
3)antibiotic less than 60 mins before incision
4)Temp at least 96.8F 30 mins before or 15 mins after anesthesia end time unless
intraoperative active warming
5) VTE prophylaxis started 24 hrs prior to incision time to 24 hrs after procedure end
time
6)cardiac surgery patients must maintain blood glucose of 200 mg/dl or less post-op day
1 and 2
7) prophylactic antibiotics discontinued w/in 24 hrs after surgery (48 for cardiac surgery)
8) foley catheter discontinued post-op day 1 or 2 unless contradiction
9) all laparoscopic surgeries will be evaluated for SCIP care measures
Stoke (core measures) - Answers :1) IV TPA started w/in "last well known time" for
acute ischemic stroke unless contradiction
2) Ischemic stroke/TIA: antithrombotic therapy started by the end of hospital day 2
*Antithrombotic therapy at discharge unless contradiction
*Anticoagulation therapy at discharge for patients with A-fib
*VTE prophylaxis started no later than end of day of admisson
*assessmnt for rehabilitation services
*statin medication at discharge if LDL>100, no LDL or statin at home
3) stroke education: activation of EMS, follow up, medication, risk factors for stroke, and
warning signs and symptoms of stroke
4)tobacco cessation
Immunization (core measures) - Answers :1) pneumococcal vaccination screening
required for all patients: 65 and older for all diagnosis, 6-64 with high risk conditions
2) influenza vaccine screening for all patients 6 months and older discharged from Oct
1- Mar 31. vaccines must be administered for all eligible patients
VTE (core measures) - Answers :Venous Thromboembolism
1) VTE prophylaxis administered within 24 hours of admission to hospital or ICU
2) confirmed VTE patient must have 5 day overlap therapy prior to discharged or be
discharged on both parental or warfarin therapy
3) ensure VTE patient receives IV UFH therapy dosage and platelet count monitoring
using define protocol
4) discharge instructions must address compliance issues, dietary advice , follow up
monitoring and info about potential adverse drug reactions/ interactions
5) identify patients with confirmed VTE not present at admission who did not receive
VTE prophylaxis (failure to prevent)
CAC (core measures) - Answers :Children's Asthma Care (CAC)
AIDET - Answers :ACKNOWLEDGE: eye contact, smile, call by name
INTRODUCE: Name, title, special training, years of experience
DURATiON: how long? what happens next?
EXPLAIN: what you are doing and why?
THANK YOU: let them know you enjoyed working with them
Hourly Rounding - Answers :1) use opening key words
2) perform scheduled care
3) address 5 P's (pain, position, potty, possessions, and preventions)
4) ask if there is anything else you can do and remind patient that someone will be back
in an hour or so
5) document rounding
10-5 rule - Answers :1) acknowledge person at 10 ft away by smiling and making eye
contact
2) at 5 ft away say hello and go extra mile to help guest find their way
AMI (core measures) - Answers :Acute Myocardial Infarction
1) aspirin w/in 24 hr's before or after arrival
2) beta blocker at discharge
3) smoking cessation
4) ACE inhibitor or ARB if moderate to severe LV dysfunction
5) aspirin at discharge
6) percutaneous intervention (PCI) w/in 90 mins of arrival for patient with STEMI or new
LBBB
7) statin meds at discharge is LSL>100, no LDL or statin meds at home
HF (core measures) - Answers :Heart Failure
1) documentation of LV function evaluation
2)ACEI or ARB at discharge for moderate to severe LVSD
3)written discharge instructions (weight monitoring, what to do if HF symptoms worsen,
diet activity and meds, follow up when and where)
4) tobacco cessation
PN (core measures) - Answers :Pneumonia
1) antibiotics w/in 6 hrs of arrival
2)blood cultures prior to antibiotics
3)blood cultures performed w/in 24 hrs prior to or after arrival if admitted to ICU or
transferred
4) flu and PN vaccines must be offered to all PN patients that are eligible
5) pneumococcal vaccine screening mandatory for all patients 65 yrs or older
6) influenza vaccine screening mandatory between OCT 1- MAR 31 for 50 yrs or older
7) tobacco cessation
, SCIP (core measures) - Answers :Surgical Care Improvement Project
1) patient on beta blocker must have a beta blocker administered the day of or before
surgery AND on post-op day 1 or 2 unless contradiction
2) hair removal with clippers only
3)antibiotic less than 60 mins before incision
4)Temp at least 96.8F 30 mins before or 15 mins after anesthesia end time unless
intraoperative active warming
5) VTE prophylaxis started 24 hrs prior to incision time to 24 hrs after procedure end
time
6)cardiac surgery patients must maintain blood glucose of 200 mg/dl or less post-op day
1 and 2
7) prophylactic antibiotics discontinued w/in 24 hrs after surgery (48 for cardiac surgery)
8) foley catheter discontinued post-op day 1 or 2 unless contradiction
9) all laparoscopic surgeries will be evaluated for SCIP care measures
Stoke (core measures) - Answers :1) IV TPA started w/in "last well known time" for
acute ischemic stroke unless contradiction
2) Ischemic stroke/TIA: antithrombotic therapy started by the end of hospital day 2
*Antithrombotic therapy at discharge unless contradiction
*Anticoagulation therapy at discharge for patients with A-fib
*VTE prophylaxis started no later than end of day of admisson
*assessmnt for rehabilitation services
*statin medication at discharge if LDL>100, no LDL or statin at home
3) stroke education: activation of EMS, follow up, medication, risk factors for stroke, and
warning signs and symptoms of stroke
4)tobacco cessation
Immunization (core measures) - Answers :1) pneumococcal vaccination screening
required for all patients: 65 and older for all diagnosis, 6-64 with high risk conditions
2) influenza vaccine screening for all patients 6 months and older discharged from Oct
1- Mar 31. vaccines must be administered for all eligible patients
VTE (core measures) - Answers :Venous Thromboembolism
1) VTE prophylaxis administered within 24 hours of admission to hospital or ICU
2) confirmed VTE patient must have 5 day overlap therapy prior to discharged or be
discharged on both parental or warfarin therapy
3) ensure VTE patient receives IV UFH therapy dosage and platelet count monitoring
using define protocol
4) discharge instructions must address compliance issues, dietary advice , follow up
monitoring and info about potential adverse drug reactions/ interactions
5) identify patients with confirmed VTE not present at admission who did not receive
VTE prophylaxis (failure to prevent)
CAC (core measures) - Answers :Children's Asthma Care (CAC)
